What it does is emphasize that turning the clinical card as cheaply as possible is the dominant factor in the model.

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However, Dr James Murray, a consultant clinical psychologist, said a new outreach policy was a major factor.

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"This is a fascinating and careful piece of research which could lead to important new avenues in treating this chronic gastric infection which is a major risk factor for stomach cancer, " said Dr Richard Sullivan, its head of clinical programmes.

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